HomeMy Public PortalAbout6235 HART AVE_Plumbing__ 76A667—CE 817 4-68
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` APPLOCATQ®N .F®R PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDINGRESS
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITYi�f/��
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST ` _ `
C.�✓� e "I
NUMBER FIXTURE OR ITEM EACH FEE CROSS ST. Cl
0 OWNER
WATER CLOSET - 1.50 MAIL
BATH TUB 1.50 ADDRESS 6R3
Y s
SHOWER 1.50 CIT
0�E0 ,1'j TEL. NO. 2e;Pv da
LAVATORY 1.50j G CONTRACTOR
SINK 1.50 ADDRESS �� G.► � ^
DISHWASHER 1.50 CITY .o EL. NO.
CLOTHES WASHER 1.50 STATE LIC
LICENSE NO. CLASS C RI16
SWIMMING POOL RECEPTOR 1.50 s
DISTRICT NO. GROUP Z//O��NEPROCESSED BY �
LAWN SPRINKLER SYSTEM 2.00 d 8
WATER HEATER 1.50 � INDUSTRIAL
OVAL
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD I®I�
OUTLETS OVER
5 PER SYSTEM •30
&u
O.
H
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE S 2 00
TOTAL FEE I S 16 U
APPROVALS DATE INSP -TOR'S SI ATURE
Plan check applicant o UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City. Tel. No. HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING. '
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS !�NGELES COUNTY ANp S TE OF
CALIFORNIA OR TMA I AM THE_LEGAL OWNER OF,AND INTEND TO -
RESIDE IN,THE ABOV DESCRIBED%RESIDENTIA%-'P.RO ERTY. FINAL
' SIGNATURE 'S a JACK R. ALLEN, SUPERVISING CHANICAL ENG'R.
OF PERMITTEE bbb���'"'����"`""'
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECKNALIIDATRON CK. M.O. CASH
d
5 D
D.B.B.17 SSM 8LT9 1-48 1 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WN.J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATION- DISTRICT No. GROUPIZONE �/PE INO..
ROUGH FIXTURES COMPLETE S /�-/ ^ es
—I
HEATER ESSPOOL SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED
CFIRST INSPECTION �/ �
GA MISCELLANE US w�`°/ - ZC) -1-4
APPLICANT TWILL IN HEAVILY OUTLINED PORTION ONLY
JOB
E NAME a�.v ADDRESS
W
m ADDRESS de J J41 � LOCALITY �s m
NEAREST
[L TEL.No. CROSS ST.
COUNTY `� {' 11 17 (�I
000,
CERT.No. S EXPIRES 4"� 6=( J w NAME `
LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL
ADDRESS
NORTH O //��
CITY • 1r4 64 EL.No.
I AM THE LE(fAL POSSESSCIR OF THE A20VU LOS
ANGELES COUNTY CERTI ICATE O.F QUALIFICATION.
Y�ai .rtasnae .
PL.UMBBRY
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
a
OWNQii
CORRECTIONS
SOUTH - W
DESCRIPTIONOF WORK ��✓�Z
BATH TUB FURNACE .)
aHOWER DISHWASHER
.LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
{
FLOOR SINK BAND TRAP 4
SLOP SINK FLOOR DRAIN A
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPRCTOR'8 NAMF
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER-1—GAS SODA FOUNTAIN GAS PIPING V
OUTL
GAS VENT I I "
1
7 CESSPOOL
TOTAL NUMBER OF FIXTURES _� G�-Ca SEPTIC TANK I I
CESSPOOI SEPTIC TANK SEWER I I
9
TOTAL FEE
0-0 UTILITY CO.NOTIFIED Ir. / I f G 47 _
'
FINAL / Y
76A667 17 2SM SETS 7-40 '- APPLICATION FOR PERMIT
DEP_ ARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT
To FILL IN DISTRICTG ,O P ZO E P
PLUMBER A A -
CESSPOOL& SEPTIC TANK SERVICRECEIVED BY READY F DATE
E ISSUED
FIRST INSPECTION r
ADDRE t4 A fL/✓
CITY TEL. NO. JOB
ADDRESS
COUNTY fq
LICENSE NO. EXPIRES LOCALITY I� � - A
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NEAREST �a
ANGELES COUNTY LICENSEE. ` CROSS ST. /�. f�
OWNER
MAIL
PLUMBER !-AESS
PERMIT FEE IS $1.00 FOR THE FIRST FIXTURE OR CITY TEL. No.
ITEM LISTED BELOW, PLUS SOc FOR EACH ADDITIONAL I AM THE LEGAL OWNER OF THE RESIDENTIAL PROP-
ITEM. FOR EACH SEPTIC TANK AND PIT OR DRAINFIELD ERTY DESCRIBED ABOVE.
$1.00. MINIMUM FEE FOR ANY PERMIT $1.00. EACH
GAS SYSTEM IS A SEPARATE ITEM.
OWNER
NUMBER TYPE OF FIXTURE OR ITEM
WATER CLOSET (TOILET) CORRECTIONS
BATH TUB f�-•• / G1..GC.2 %%•,d/,t
SHOWER
LAVATORY (WASH BASIN)
\�) KITCHEN SINK
LAUNDRY TUB OR TRAY
GAB SYSTEM OUTLETS .
WATER HEATER
SLOP SINK J
FLOOR SINK Z
FLOOR DRAIN E7
.DISHWASHER - O
DRINKING FOUNTAIN
URINAL
MISCELLANEOUS
APPROVALS
- DATE INSPECTOR'S NAME
"- l ROUGH PLUMBING l l
GAS PIPING I l
GAS VENT
CESSPOOL ( /f'�.1/`?lS l A-;p jx C/d
SEPTIC TANK - DRAIN ( ) PIT ( ) $ SEPTIC TANK l v l
CESSPOOL $ SEWER l
HOUSE SEWER GAS TEST l
o� �°� UTILITY CO. NOTIFIED
TOTAL FEE $ �1` l
FINAL !/